Certification of Completion

Employer ---------------------------------------------------------------------------------------------------------------------
Contractor ---------------------------------------------------------------------------------------------------------------------
Works ---------------------------------------------------------------------------------------------------------------------
Site ---------------------------------------------------------------------------------------------------------------------

The Principal Agent hereby certifies that:

Practical Completion (yes/no)

Works Completion (yes/no)

Final Completion (yes/no)

For the:

Works as a whole (yes/no)

Or

Section No. (in words) of (total sections)

was achieved on (date)

Where Works Completion is certified

That Defects Liability Period ends on (date)

Signed be the principal agent

As the agent for the employer Signature

Date…………………………………………. Name of firm